This study is researching an experimental drug called odronextamab, referred to as study drug. The study is focused on participants with previously untreated follicular lymphoma (a type of non-Hodgkin lymphoma or NHL). This study will be made up of two parts: Part 1 (non-randomized) and Part 2 (randomized - controlled). The aim of Part 1 of the study is to see how safe and tolerable the study drug is when given alone. The aim of Part 2 of the study is to see how the study drug works compared to rituximab (called the "comparator drug") and chemotherapy (the current standard of care for NHL). Standard of care means the usual medication expected and used when receiving treatment for a condition. The study is looking at several other research questions, including: * What side effects may happen from taking the study drug * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects) * How the study drug affects quality of life and ability to complete routine daily activities.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
462
Administered by intravenous infusion (IV)
Rituximab will be administered by IV, or subcutaneously (SC)
Administered by IV as part of Cyclophosphamide, Doxorubicin, Vincristine, Prednisone (CHOP) chemotherapy, or Cyclophosphamide, Vincristine, Prednisone (CVP) chemotherapy
Administered by IV as part of CHOP chemotherapy
Administered by IV as part of CHOP, and CVP chemotherapy
Administered orally (PO) as part of CVP chemotherapy
Administered by IV as part of chemotherapy (Rituximab-Bendamustine)
University of Arizona Cancer Center
Tucson, Arizona, United States
David Geffen School of Medicine at UCLA
Los Angeles, California, United States
UC Irvine Health
Orange, California, United States
Investigative Clinical Research of Indiana
Noblesville, Indiana, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Incidence of Dose-Limiting Toxicities (DLTs) for odronextamab
Part 1
Time frame: Up to 35 days
Incidence of Treatment-Emergent Adverse Events (TEAEs) of odronextamab
Part 1
Time frame: Up to 2 years
Severity of TEAEs of odronextamab
Part 1
Time frame: Up to 2 years
Complete Response at 30 months (CR30) as assessed by independent central review
Part 2
Time frame: Up to 30 months
Concentrations of odronextamab in serum
Part 1
Time frame: Up to 30 months
Incidence of Anti-Drug Antibodies (ADAs) to odronextamab over the study duration
Part 1
Time frame: Up to 30 months
Magnitude of ADAs to odronextamab over the study duration
Part 1
Time frame: Up to 30 months
Objective response as assessed by the investigator
Part 1
Time frame: Up to 30 months
Progression-Free Survival (PFS) as assessed by independent central review
Part 2
Time frame: Up to 5 years
Event-Free Survival (EFS) as assessed by independent central review
Part 2
Time frame: Up to 5 years
Overall Survival (OS)
Part 2
Time frame: Up to 5 years
Overall mean change in physical function [European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30 (EORTC-QLQ-C30)]
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a global health status (GHS)/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Time frame: Up to 5 years
CR30 as assessed by local investigator
Part 2
Time frame: Up to 30 months
PFS as assessed by the local investigator
Part 2
Time frame: Up to 5 years
EFS as assessed by the local investigator
Part 2
Time frame: Up to 5 years
Objective response assessed by local investigator
Part 2
Time frame: Up to 30 months
Objective response assessed by independent central review
Part 2
Time frame: Up to 30 months
Duration Of Response (DOR) assessed by independent central review
Part 2
Time frame: Up to 5 years
DOR assessed by local investigator
Part 2
Time frame: Up to 5 years
Time To Next anti-lymphoma Treatment (TTNT)
Part 2
Time frame: Up to 5 years
Incidence of TEAEs
Part 2
Time frame: Up to 2 years
Severity of TEAEs
Part 2
Time frame: Up to 2 years
Odronextamab concentrations in serum during the induction period
Part 2
Time frame: Up to 30 months
Odronextamab concentrations in serum during the maintenance period
Part 2
Time frame: Up to 30 months
Incidence of ADAs to odronextamab over the study duration
Part 2
Time frame: Up to 30 months
Magnitude of ADAs to odronextamab over the study duration
Part 2
Time frame: Up to 30 months
Overall mean changes in scores of patient reported outcomes (PROs), as measured by the validated instruments EORTCQLQ- C30
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a global health status (GHS)/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Time frame: Up to 5 years
Overall mean changes in scores of PROs, as measured by the validated instruments Functional Assessment of Cancer Therapy-Lymphoma (FACT-LymS)
Part 2 The FACT-Lym lymphoma subscale (LymS) includes 15 items to assess NHL-related symptoms and concerns. All questions are answered on a 5-point scale ranging from "not at all" (0) to "very much" (4). Higher scores are associated with a worse quality of life.
Time frame: Up to 5 years
Overall mean changes in scores of PROs, as measured by the validated instruments EuroQol-5 Dimension-5 Level Scale (EQ-5D- 5L)
Part 2 The EQ-5D-5L consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: "no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems". The EQ VAS records the participant's self-rated health on a vertical visual analogue scale where the endpoints are labeled "Best imaginable health state" and "Worst imaginable health state".
Time frame: Up to 5 years
Change in Patient Global Impression of Severity (PGIS)
Part 2 The PGIS includes a single-item to assess how a patient perceives the overall severity of cancer symptoms over the past 7 days. Patients will choose the response that best describes the severity of their overall cancer symptoms with options on a 5-point scale ranging from 1 (No symptoms) to 4 (Very Severe).
Time frame: Up to 5 years
Change in Patient Global Impression of Change (PGIC)
Part 2 The PGIC item includes a single-item to assess how a patient perceives their overall change in health status since the start of study treatment. Patients will choose from response options on a 7-point scale ranging from 1 (Much Better) to 7 (Much worse); 1- Much Better, 2-Moderately Better, 3-A Little Better, 4-About the Same, 5-A Little Worse, 6-Moderately Worse, 7-Much Worse.
Time frame: Up to 5 years
Change in score of the GP5 item in the participant population
Part 2 A single item Global Population item 5 (GP5) of the validated FACT-G questionnaire will be used to assess from the participant perspective the overall impact of treatment side-effect. The question item is on a 5-point scale ranging from "not at all" (0) to "very much" (4).
Time frame: Up to 5 years
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Karmanos Cancer Institute
Detroit, Michigan, United States
Hattiesburg Clinic
Hattiesburg, Mississippi, United States
Icahn School of Medicine at Mt Sinai
New York, New York, United States
Stony Brook University Hospital
Stony Brook, New York, United States
Clinical Research Alliance Inc
Westbury, New York, United States
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